assesment-of-foot-function

଍෦ͷόΠΦϝΧχΫε ʹج͍ͮͨධՁ "TTFTTNFOUPGGPPUGVODUJPO

ධՁͷ৴པੑɹ*OUSBDMBTTDPSSFMBUJPODPFGGJDJFOU *$$ڃ಺૬ؔ܎਺ ݕऀ಺৴པੑ*OUSBSBUFSSFMJBCJMJUZ ɹ̍ਓͷݕऀ͕ෳ਺ͷඃݕऀʹରͯ͠Lճɹɹɹɹ ܁Γฦͯ͠ଌఆͨ͠ࡍͷҰக౓ ݕऀؒ৴པੑ*OUFSSBUFSSFMJBCJMJUZ ɹෳ਺ͷݕऀ͕ෳ਺ͷඃݕऀʹରͯ͠ଌఆ ɹͨ͠ࡍͷҰக౓

৴པੑͷେ·͔ͳج४ (SFBU (PPE 0, 1PTTJCMF ̒
3FXPSL *$$ڃ಺૬ؔ܎਺

଍෦ʹؔ࿈͢ΔධՁͷ৴པੑ 3$41 /$41 3$41ɹະຬ /$41ɹະຬ *$$ ଍ؔઅഎ۶ՄಈҬ ක৳లҐɹະຬ ක۶ۂҐɹະຬ *$$
)-+BSWJT*OUFSBTTFTTPSSFMJBCJMJUZPGQSBDUJDFCBTFECJPNFDIBOJDBMBTTFTTNFOUPGUIFGPPUBOEBOLMF+PVSOBMPG'PPUBOE"OLMF3FTFBSDI

଍෦ʹؔ࿈͢ΔධՁͷ৴པੑ ٭௕ࠩ ,BQQB'MFJTT ະຬ ୈҰྻɹҐஔͱӡಈ 1PTJUJPOҎԼ .PCJMJUZҎԼ ,BQQB'MFJTT 1PPS
r 4MJHIU r 'BJS r .PEFSBUF r 4VCTUBOUJBM r "MNPTUQFSGFDU 'MFJTTLBQQB )-+BSWJT*OUFSBTTFTTPSSFMJBCJMJUZPGQSBDUJDFCBTFECJPNFDIBOJDBMBTTFTTNFOUPGUIFGPPUBOEBOLMF+PVSOBMPG'PPUBOE"OLMF3FTFBSDI

/$41ཱ٭᪜ࠎதؒҐ 3$41ཱ٭᪜ࠎࣗવࢶҐ Neutral Calcaneal Stance Position /Resting Calcaneal Stance Position
ڑࠎԼؔઅதؒҐͷ࣌ͷ চ໘ʹର͢Δ᪜ͷࢶҐ ࣗવͳཱҐΛͱͬͨ࣌ͷ চ໘ʹର͢Δ᪜ͷࢶҐ

ޙ଍෦಺൓ʗ֎൓ɹRearfoot valgus/varus ޙ଍෦֎൓ ᪜ࠎ͕/$41ͷͱ͖ চ໘ʹରͯ͠֎൓ͯ͠Δঢ়ଶ ޙ଍෦಺൓ ᪜ࠎ͕/$41ͷͱ͖ চ໘ʹରͯ͠಺൓͍ͯ͠Δঢ়ଶ

લ଍෦಺൓ʗ֎൓ɹForefoot valgus/varus લ଍෦಺൓ લ଍෦֎൓ ڑࠎԼؔઅதؒҐͰԣ଍ࠜؔઅ͕࠷େճ಺Ґͷ࣌ɺલ଍෦ఈ໘͕ޙ଍෦ఈ໘ʹରͯ͠ ಺൓͍ͯ͠Δͱ͖ɺલ଍෦಺൓ɻ֎൓͍ͯ͠Δͱ͖ɺલ଍෦֎൓ͱݺͿɻ

ୈҰྻͷมܗͱՄಈੑ ୈҰྻఈ۶มܗ ୈҰྻഎ۶มܗ χϡʔτϥϧ ڑࠎԼؔઅதؒҐͰத଍ࠎ಄ͷϥΠϯʹର͢Δ฼᪇ͷத଍ࠎ಄ͷҐஔͰධՁ Մಈੑ͸্ԼʹNNఔ౓͕ਖ਼ৗͱݴΘΕΔ NN NN

଍෦ͷมܗɹ3PPUNPEFM 3$41ཱ٭᪜ࠎࣗવࢶҐɹڑࠎԼؔઅճ಺ʹΑΔิঈ ิঈແ͠ ෦෼ิঈ ׬શิঈ

଍෦ͷมܗɹ3PPUNPEFM ޙ଍෦ͱલ଍෦ͷ૊Έ߹Θͤ ڑࠎԼؔઅճ಺ิঈແ͠ લ଍෦֎൓ ϋΠΞʔν ߗ͍଍

଍෦ͷมܗɹ3PPUNPEFM ڑࠎԼؔઅճ಺׬શิঈ ޙ଍෦ͱલ଍෦ͷ૊Έ߹Θͤ લ଍෦಺൓ ἷฏ଍ ॊΒ͔͍଍

଍෦ͷมܗɹ3PPUNPEFM ɹޙ଍෦಺൓ɹ3FBSGPPUWBSVT ɹޙ଍෦֎൓ɹ3FBSGPPUWBMHVT ɹ଍ؔઅઑ଍ɹʻ"OLMFFRVJOVT ɹલ଍෦಺൓ɹ'PSFGPPUWBSVT ɹલ଍෦֎൓ɹ'PSFGPPUWBMHVT
ɹୈྻఈ۶ɹ1MBOUBS fl FYFE fi STUSBZ ɹୈྻഎ۶ɹ%PSTJ fl FYFE fi STUSBZ ɹ฼᪇എ۶ະຬɹʻ)BMMVYEPSTJ fl FYJPO /$41 ᡧࠎʹ಺࿷͕͋Δ ͨΊˋҎ্ͷ ਓ͕ؒޙ଍෦಺൓

'PPU1PTUVSF*OEFYJUFN%BUBTIFFU A.C.Redmond et al. Clinical Biomechanics Component Plane -2 -1
0 1 2 ڑࠎ಄ͷ৮਍ ਫฏ໘ ڑࠎ಄ͷ֎ଆͷΈ ৮਍Մೳ ڑࠎ಄ͷ֎ଆ͕ओɺ ಺ଆ͸Θ͔ͣʹ৮ΕΔ ڑࠎ಄ͷ಺֎ଆ͕ ౳͘͠৮ΕΔ ڑࠎ಄ͷ಺ଆ͕ओɺ ֎ଆ͸Θ͔ͣʹ৮ΕΔ ڑࠎ಄ͷ಺ଆͷΈ৮ ΕΔ ֎Ռ্ԼͷΧʔϒ લֹ໘ ্ʹൺ΂Լͷۂઢ͕ ௚ઢ͔ತ Լͷۂઢ͕ԜΜͰ͍Δ ্͕ΑΓ΋ฏୱ ্Լͷۂઢ͕େମ ಉ͡ Լͷۂઢ্͕ͷΑΓ΋ ԜΜͰ͍Δ Լͷۂઢ্͕ΑΓ໌ Β͔ʹԜΜͰ͍Δ ᪜ࠎ಺֎൓ લֹ໘ ̑°Ҏ্ͷ಺൓ ਨ௚ͱ̑°಺൓ͷؒ ਨ௚ ਨ௚ͱ̑°֎൓ͷؒ ̑°Ҏ্ͷ֎൓ ڑसؔઅͷོى ਫฏ໘ ڑसؔઅ͸ஶ͘͠Ԝ ΜͰ͍Δ ڑसؔઅ͸Θ͔ͣʹ ԜΜͰ͍Δ ڑसؔઅ͸ฏୱ ڑसؔઅ͸Θ͔ͣʹ ๲ོ͍ͯ͠Δ ڑसؔઅ͸ஶ͘͠๲ ོ͍ͯ͠Δ ಺ଆΞʔνͷߴ͞ ໼্໘ Ξʔν͸ߴ͘ޙ୺ʹ ޲͔ͬͯӶ֯ Ξʔν͸த౳౓ʹߴ͍ ಉ৺ԁঢ়ʹ࿷ۂ Ξʔν͸ฏΒͰ௿͍ Ξʔν͸ඇৗʹ௿͘ ஍໘ʹ઀৮͍ͯ͠Δ ޙ଍෦ʹର͢Δ લ଍෦ͷ಺֎స લֹ໘ ֎ଆ͔Β଍᪇͕ݟ͑ ͣ಺ଆͷ฼᪇͕͸ͬ ͖Γݟ͑Δ ಺ଆͷ଍᪇ͷํ͕֎ଆ ΑΓ΋໌Β͔ʹݟ͑Δ ಺֎ଆͷ଍ͷࢦ͕ ಉ͡Α͏ʹݟ͑Δ ֎ଆͷ଍᪇͕಺ଆΑΓ ΋໌Β͔ʹ໨ཱͭ ಺ଆͷ଍᪇͕ݟ͑ͣ ֎ଆͷ଍᪇͕͸͖ͬ Γݟ͑Δ ← ޙ ଍ ෦ → ← લ ଍ ෦ →

'PPU1PTUVSF*OEFYɹڑࠎ಄ͷ৮਍ -2 -1 0 1 2 ڑࠎ಄ͷ֎ଆͷΈ৮਍ Մೳ ڑࠎ಄ͷ֎ଆ͕ओɺ಺ ଆ͸Θ͔ͣʹ৮ΕΔ
ڑࠎ಄ͷ಺֎ଆ͕౳͠ ͘৮ΕΔ ڑࠎ಄ͷ಺ଆ͕ओɺ֎ ଆ͸Θ͔ͣʹ৮ΕΔ ڑࠎ಄ͷ಺ଆͷΈ৮Ε Δ

-2 -1 0 1 2 ڑࠎ಄ͷ֎ଆͷΈ৮਍ Մೳ ڑࠎ಄ͷ֎ଆ͕ओɺ಺ ଆ͸Θ͔ͣʹ৮ΕΔ ڑࠎ಄ͷ಺֎ଆ͕౳͠
͘৮ΕΔ ڑࠎ಄ͷ಺ଆ͕ओɺ֎ ଆ͸Θ͔ͣʹ৮ΕΔ ڑࠎ಄ͷ಺ଆͷΈ৮Ε Δ -2 -1 0 1 2 ্ʹൺ΂Լͷۂઢ͕ ௚ઢ͔ತ Լͷۂઢ͕ԜΜͰ͍ Δ্͕ΑΓ΋ฏୱ ্Լͷۂઢ͕େମ ಉ͡ Լͷۂઢ্͕ͷΑΓ ΋ԜΜͰ͍Δ Լͷۂઢ্͕ΑΓ໌ Β͔ʹԜΜͰ͍Δ ڑࠎ಄ͷ৮਍ ֎Ռ্ԼͷΧʔϒ

'PPU1PTUVSF*OEFYɹ֎Ռ্ԼͷΧʔϒ -2 -1 0 1 2 ্ʹൺ΂Լͷۂઢ͕௚ ઢ͔ತ Լͷۂઢ͕ԜΜͰ͍Δ ্͕ΑΓ΋ฏୱ
্Լͷۂઢ͕େମಉ͡ Լͷۂઢ্͕ͷΑΓ΋ ԜΜͰ͍Δ Լͷۂઢ্͕ΑΓ໌Β ͔ʹԜΜͰ͍Δ

'PPU1PTUVSF*OEFYɹ᪜ࠎ಺֎൓ -2 -1 0 1 2 ̑°Ҏ্ͷ಺൓ ਨ௚ͱ̑°಺൓ͷؒ ਨ௚ ਨ௚ͱ̑°֎൓ͷؒ
̑°Ҏ্ͷ֎൓

-2 -1 0 1 2 ̑°Ҏ্ͷ಺൓ ਨ௚ͱ̑°಺൓ͷؒ ਨ௚ ਨ௚ͱ̑°֎൓ͷؒ ̑°Ҏ্ͷ֎൓
-2 -1 0 1 2 ڑसؔઅ͸ஶ͘͠ ԜΜͰ͍Δ ڑसؔઅ͸Θ͔ͣʹ ԜΜͰ͍Δ ڑसؔઅ͸ฏୱ ڑसؔઅ͸Θ͔ͣʹ ๲ོ͍ͯ͠Δ ڑसؔઅ͸ஶ͘͠ ๲ོ͍ͯ͠Δ ᪜ࠎ಺֎൓ ڑसؔઅͷོى

'PPU1PTUVSF*OEFYڑसؔઅͷོى -2 -1 0 1 2 ڑसؔઅ͸ஶ͘͠ ԜΜͰ͍Δ ڑसؔઅ͸Θ͔ͣ ʹԜΜͰ͍Δ
ڑसؔઅ͸ฏୱ ڑसؔઅ͸Θ͔ͣ ʹ๲ོ͍ͯ͠Δ ڑसؔઅ͸ஶ͘͠ ๲ོ͍ͯ͠Δ

'PPU1PTUVSF*OEFY಺ଆΞʔνͷߴ͞ -2 -1 0 1 2 Ξʔν͸ߴ͘ޙ୺ʹ ޲͔ͬͯӶ֯ Ξʔν͸த౳౓ʹߴ͍ ಉ৺ԁঢ়ʹ࿷ۂ
Ξʔν͸ฏΒͰ௿͍ Ξʔν͸ඇৗʹ௿͘ ஍໘ʹ઀৮͍ͯ͠Δ

-2 -1 0 1 2 Ξʔν͸ߴ͘ޙ୺ʹ ޲͔ͬͯӶ֯ Ξʔν͸த౳౓ʹߴ͍ ಉ৺ԁঢ়ʹ࿷ۂ Ξʔν͸ฏΒͰ௿͍
Ξʔν͸ඇৗʹ௿͘ ஍໘ʹ઀৮͍ͯ͠Δ -2 -1 0 1 2 ֎ଆ͔Β଍᪇͕ݟ͑ͣ ಺ଆͷ฼᪇͕͸͖ͬ Γݟ͑Δ ಺ଆͷ଍᪇ͷํ͕֎ଆ ΑΓ΋໌Β͔ʹݟ͑Δ ಺֎ଆͷ଍ͷࢦ͕ಉ͡ Α͏ʹݟ͑Δ ֎ଆͷ଍᪇͕಺ଆΑΓ ΋໌Β͔ʹ໨ཱͭ ಺ଆͷ଍᪇͕ݟ͑ͣ ֎ଆͷ଍᪇͕͸͖ͬ Γݟ͑Δ ޙ଍෦ʹର͢Δ લ଍෦ͷ಺֎స ಺ଆΞʔνͷߴ͞

'PPU1PTUVSF*OEFYɹޙ଍෦ʹର͢Δલ଍෦ͷ಺֎స -2 -1 0 1 2 ֎ଆ͔Β଍᪇͕ݟ͑ ͣ಺ଆͷ฼᪇͕͸ͬ ͖Γݟ͑Δ ಺ଆͷ଍᪇ͷํ͕֎
ଆΑΓ΋໌Β͔ʹݟ ͑Δ ಺֎ଆͷ଍ͷࢦ͕ಉ ͡Α͏ʹݟ͑Δ ֎ଆͷ଍᪇͕಺ଆΑ Γ΋໌Β͔ʹ໨ཱͭ ಺ଆͷ଍᪇͕ݟ͑ͣ ֎ଆͷ଍᪇͕͸͖ͬ Γݟ͑Δ

ԣΞʔνͷධՁ ୈ̍த଍ࠎ಄ͱ ୈ̑த଍ࠎ಄Λ݁Ϳ ଍෯ -FHXJEUI ଍௕ GPPUMFOHUI 4QSFBE3BUF։ு཰ ଍෯
଍௕ ։ு཰͸த଍ࠎϨϕϧͷԣΞʔνධՁ ͱͯ͠؆ศʹଌఆͰ͖ɺ9ઢͰͷධՁͱ ૬͕ؔ͋Γ৴པੑͷߴ͍ධՁͱݴΘΕ ͍ͯΔɻ Shintarou Kudo. Flexibility of the Transverse Arch of the Forefoot. J Orthop Surg 2014 Apr;22(1):46-51 USBOTWFSTFBSDIMFOHUI

/BWJDVMBSESPQUFTU ڑࠎԼؔઅχϡʔτϥϧ ࣗવཱҐ #SPEZ5.5FDIOJRVFTJOUIFFWBMVBUJPOBOEUSFBUNFOUPGUIFJOKVSFESVOOFS0SUIPQ$MJO/PSUI"N 1SPOBUFEGPPUɹ≥NN

/BWJDVMBSESJGUUFTU ڑࠎԼؔઅχϡʔτϥϧ ࣗવཱҐ લֹ໘্Ͱसঢ়ࠎͷมҐΛධՁ

-POHJUVEJOBM"SDI"OHMF -"" .FEJBM.BMMFPMVT /BWJDVMBS5VCFSPTJUZ TU.FUBUBSTBM)FBE /JMTTPO., FUBM$MBTTJ fi DBUJPOPGUIFIFJHIUBOE fl
FYJCJMJUZPGUIFNFEJBMMPOHJUVEJOBMBSDIPGUIFGPPU+'PPU"OLMF3FT'FC d ʻ ʻ )JHIBSDI -PXBSDI /PSNBM

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.D$MBZ*4.FBTVSFNFOUTVTFEUPDIBSBDUFSJ[FUIFGPPUBOEUIFNFEJBMMPOHJUVEJOBMBSDISFMJBCJMJUZBOEWBMJEJUZ1IZTJDBMUIFSBQZ4FQ

-BVHF)BOTFO෼ྨɹ4&3 4QJOBUJPO&YUFSOBMSPUBUJPO 4VQJOBUJPO ճ֎ ֎ટ ଍෦ࢶҐ ڑࠎͷӡಈ 4UBHFᶗɹલᡧᡯਟଳஅ྾PS෇ண෦ണ཭ࠎં 4UBHFᶘɹ֎Ռͷࣼࠎં 4UBHFᶙɹޙᡧᡯਟଳஅ྾PSޙՌࠎં
4UBHFᶚɹ಺ՌࠎંPSࡾ֯ਟଳஅ྾ &YUBSOBMSPUBUJPO ᶗ ᶘ ᶙ ᶚ ᶗ ᶘ ᶙ +BTPO1$MBTTJ fi DBUJPOTJO#SJFG-BVHF)BOTFO$MBTTJ fi DBUJPOPG"OLMF'SBDUVSFT $MJO0SUIPQ3FMBU3FT0DU r

-BVHF)BOTFO෼ྨɹ4" 4QJOBUJPO"EEVDUJPO 4VQJOBUJPO ճ֎ ಺స ଍෦ࢶҐ ڑࠎͷӡಈ 4UBHFᶗɹ֎ՌࠎંPS֎ଆଆ෭ਟଳஅ྾ 4UBHFᶘɹ಺Ռࠎં "EEVDUJPO
ᶗ ᶘ ᶗ

-BVHF)BOTFO෼ྨɹ1" 1SPOBUJPO"CEVDUJPO 1SPOBUJPO ճ಺ ֎స ଍෦ࢶҐ ڑࠎͷӡಈ 4UBHFᶗɹ಺ՌࠎંPSࡾ֯ਟଳஅ྾ 4UBHFᶘɹલɾޙᡧᡯਟଳஅ྾PSണ཭ࠎં 4UBHFᶙɹᡯࠎࠎં
"CEVDUJPO ᶗ ᶘ ᶘ ᶙ ᶘ ᶙ

-BVHF)BOTFO෼ྨɹ1&3 1SPOBUJPO&YUFSOBMSPUBUJPO 1SPOBUJPO ճ಺ ֎ટ ଍෦ࢶҐ ڑࠎͷӡಈ 4UBHFᶗɹ಺ՌࠎંPSࡾ֯ਟଳஅ྾ 4UBHFᶘɹલᡧᡯਟଳஅ྾PSണ཭ࠎંwࠎװບஅ྾ 4UBHFᶙɹᡯࠎߴҐͷࠎં
4UBHFᶚɹޙᡧᡯਟଳஅ྾PSᡯࠎߴҐࠎં &YUBSOBMSPUBUJPO ᶗ ᶘ ᶙ ᶚ ᶘ ᶙ ᶚ

%FOJT8FCFS෼ྨ"0෼ྨ 8FCFS""0"ɹԕҐᡧᡯਟଳΑΓࠎંઢ͕ԼɹJOGSBTZOEFTNPUJD 8FCFS#"0#ɹԕҐᡧᡯਟଳͱࠎંઢ͕ಉ͡ɹUSBOTTZOEFTNPUJD 8FCFS$"0$ԕҐᡧᡯਟଳΑΓࠎંઢ্͕ɹTVQSBTZOEFTNPUJD # " $ +(,FOOFEZ"OFWBMVBUJPOPGUIF8FCFSDMBTTJ fi DBUJPOPGBOLMFGSBDUVSFT
JOKVSZ0DU

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"ᡯࠎ୯ಠࠎં "ʴ಺Ռࠎં "ʴޙՌࠎં +0SUIPQ5SBVNB7PMVNF /VNCFS4VQQMFNFOU KBOVBSZ

"0#ɹ5SBOTTZOEFTNPUJD # # # # # # # # #
#ᡯࠎ୯ಠࠎં #ʴ಺ଆͷଛই #ʴޙ֎ଆԑͷࠎં +0SUIPQ5SBVNB7PMVNF /VNCFS4VQQMFNFOU KBOVBSZ

"0$ɹ4VQSBTZOEFTNPUJD $ $ $ $ $ $ $ $ $
$ᡯࠎࠎװ෦୯७ࠎં $͘͞ͼঢ়·ͨ͸ଟஅยͷࠎં $ۙҐͷᡯࠎࠎં +0SUIPQ5SBVNB7PMVNF /VNCFS4VQQMFNFOU KBOVBSZ

assesment-of-foot-function

assesment-of-foot-function

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